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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>-373316</RevenueNotReportedAmt>
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      <TotalRevenuePerForm990Amt>131641479</TotalRevenuePerForm990Amt>
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        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The accounting standard on accounting for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under the guidance, the Clinic may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Clinic and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. There were no unrecognized tax benefits identified or recorded as liabilities for fiscal year 2017.</ExplanationTxt>
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          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <NonCashAssistanceDesc>Building</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Start up funds for foundation</PurposeOfGrantTxt>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
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        <PersonNm>Stephen W Schilling</PersonNm>
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        <PersonNm>Sunday Irene</PersonNm>
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        <FormAndLineReferenceDesc>Part III, Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has established a 457(f) deferred compensation plan for the CEO Stephen W. Schilling. The amount contributed to this plan was $111,214 for fiscal year ended March 31, 2017.</ExplanationTxt>
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        <PersonNm>Rhonda Robinson</PersonNm>
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        <PersonNm>Ryan Johnson</PersonNm>
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        <ExplanationTxt>The Articles of Incorporation for Clinica Sierra Vista were restated to conformwith new provisions for Nonprofit entities in the State of California and to includeadditional service areas where Cinica Sierra Vista is currently operating CommunityHealth Centers. The Restated Articles of Incorporation for Clinica Sierra Vistawere approved by the California Secretary of State on June 6, 2016.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Clinica Sierra Vista has a Conflict of Interest policy in the Employee personnel manual section 428.1 and Administrative Manual Policy #AA.090. Each employee is given the manual and this policy is also reviewed with each new hire. Our policy requires employees to request approval for outside employment; it requires disclosure of potential personal and professional conflicts; and prohibits employees from engaging in business transactions that result in personal gain. Human Resources and supervisors monitor adherence to this policy closely.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for the CEO is determined and approved by Clinica Sierra Vista's Board of Directors during contract renewal and negotiations. The CEO determines and approves compensation for officers and key employees based on board approved salary schedule and individual's qualifications.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has a personnel committee composed of members of the Board of Directors. The committee uses a formal salary survey process to determine appropriate salary scale for all positions and makes recommendations to Board of Directors. Surveys comprise of like non-profit organizations, industry specific, National and State Primary Care Association Surveys.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>All governing documents, financial statements and form 990 are available to thepublic upon written request. The form 990 is also available online on the IRS website.</ExplanationTxt>
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        <PrimaryActivitiesTxt>To support the activities of CSV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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